Form Mf-113 - Invoice Requirements Form (For The Motor Vehicle Fuel Tax Refund Law) - State Of Wisconsin

ADVERTISEMENT

Invoice Requirements
Wisconsin Department of Revenue
PO Box 8900
(for the motor vehicle fuel tax refund law)
Madison WI 53708-8900
(608) 266-7363
Invoices submitted with any of the following
FAX (608) 261-7049
motor vehicle fuel tax refund claims must
E-mail: excise@dor.state.wi.us
comply with the Wisconsin fuel tax refund
law and administrative rules:
SAMPLE INVOICE
Types of Refund Claims
CUSTOMER’S INVOICE
NO. 12345
MF-001
Taxicab Claim
(to be given to customer)
MF-003
Agricultural Off-Road Claim
MF-004
Retailer Claim (gasoline only)
ANY OIL COMPANY
MF-023
Nonagricultural Off-Road Claim
ANY CITY, WI
20
Under the Wisconsin fuel tax refund law, ALL
(month & day)
invoices which accompany a refund claim
must contain the following information:
Sold to
1. Date of fuel sale
Address
2. Name and address of purchaser
3. Name and address of seller
4. Number of gallons purchased
Gallons
Items (product type)
Price
Amount Paid
5. Type of fuel
6. Purchase price
7. Amount of Wisconsin fuel tax paid (this
must be shown separately)
Amount Paid Column
Make sure that your supplier fully completes
the invoice including the “amount paid”
column. This column represents what you
actually paid for the fuel purchased.
You must submit a separate invoice for each
fuel purchase. Grouping purchases on one
invoice is not acceptable.
Invoices are a permanent part of a refund
claim and will not be returned to you.
Wis. Sales Tax
Refunds Cannot Be Assigned
Wis. Fuel Tax
The right to a refund under our refund law
Federal Fuel Tax
cannot be assigned to someone else. This
means that the name of the person appear-
TOTAL
ing on the invoice must agree with the name
on the refund claim.
RECEIVED PAYMENT: ANY OIL COMPANY
If the invoices you submit are not properly
prepared, your refund claim will be
Date
By
returned.
Signature
NOTE: The complete text of the refund claim law may be found in Sections 78.20 (Retailer Refunds)
and 78.75 (Taxicab & Off-Road Refunds) of the Wisconsin Statutes.
MF-113 (R. 3-06)

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form Mf-112 - Registration For Vendor Motor Vehicle Fuel Tax Refunds Form Mf-112 - Registration For Vendor Motor Vehicle Fuel Tax Refunds Financial
Form Au-737 - Motor Vehicle Fuels Tax Refund Claim - Airport Service (motor Bus) - 2006 Form Au-737 - Motor Vehicle Fuels Tax Refund Claim - Airport Service (motor Bus) - 2006 Financial
Form Au-736b - Motor Vehicle Fuels Tax Refund Claim Diesel - Motor Bus/taxicab 2002 Form Au-736b - Motor Vehicle Fuels Tax Refund Claim Diesel - Motor Bus/taxicab 2002 Financial
Form Au-736a - Motor Vehicle Fuels Tax Refund Claim Gasoline -motor Bus/taxicab 2002 Form Au-736a - Motor Vehicle Fuels Tax Refund Claim Gasoline -motor Bus/taxicab 2002 Financial
Form Au-737 - Motor Vehicle Fuels Tax Refund Claim - Airport Service Motor Bus - 2007 Form Au-737 - Motor Vehicle Fuels Tax Refund Claim - Airport Service Motor Bus - 2007 Financial
Form Au-737 - Motor Vehicle Fuels Tax Refund Claim - Airport Service (motor Bus) - 2004 Form Au-737 - Motor Vehicle Fuels Tax Refund Claim - Airport Service (motor Bus) - 2004 Financial
Form Au-737 - Motor Vehicle Fuels Tax Refund Claim - Airport Service Motor Bus - 2013 Form Au-737 - Motor Vehicle Fuels Tax Refund Claim - Airport Service Motor Bus - 2013 Financial
Form Au-741 - Motor Vehicle Fuels Tax Refund Claim - 2015 Form Au-741 - Motor Vehicle Fuels Tax Refund Claim - 2015 Financial
Form Au-736 - Motor Vehicle Fuels Tax Refund Claim - 2006 Form Au-736 - Motor Vehicle Fuels Tax Refund Claim - 2006 Financial
Form Au-741 - Motor Vehicle Fuels Tax Refund Claim - 2006 Form Au-741 - Motor Vehicle Fuels Tax Refund Claim - 2006 Financial

Related Categories

Parent category: Financial
Download
Go